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Resident Interviews

 

Program: Wake Forest

Location: Winston-Salem, NC

Years: 3

Class Size: 10

Resident Responding:  Andrew Pylant, Chief Resident

Date of Response: June 2006


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1. What makes your program different from other programs, or what made you choose your program? 

     Faculty, staff, and residents.  We have a very collegial and friendly atmosphere, which makes working fun.

2. If not answered above, what's the best aspect of your program?

     I think aside from the great work environment above, the next best aspect is our depth of training:  6 total months of Peds ED training, 4 ICU months, as well as tons of adult ED months. 

3. Are there any major upcoming changes to your program?

     We are changing to electronic T-system on July 18th 2006. 

4. Is there anything you would change about your program if you could? 

     No.

5. How much are you responsible for blood draws, putting in IVs, etc.? 

     The only time we place IV's is when 3 nurses can't get it, and we place an EJ or ultrasound guided peripheral IV.  Other than that, our ancillary staff is very capable and we don't do any nursing duties.   

6. Do you learn mostly from attendings, other residents, or textbooks? Does this vary when you do off-service rotations? 

      Personally I learn mostly from attendings.  When on off service rotations I usually read the EM textbook chapter about what service I'm on that month, and try to learn from the residents.  It's more difficult to get good teaching out of off-service attendings. 

7. How does EMed rank in your hospital's hierarchy? 

     Near the top.  We are one of the oldest in the hospital (and the country), and all of our "turf battles" have been fought and won.  

8. What are the perks that your school provides (PDAs, textbooks, conference fees, meal tickets, etc.)?

     $150 stipend for PDA of your choice; provides copy of Harwood-Nuss and Rosen; $500 book money; $1500 stipend for any conference you want to attend, as well as a free trip to any conference if you are presenting a poster/paper; breakfast and dinner in the cafeteria when you are on call;  free monogrammed lab coats and scrubs.  I'm sure I'm missing some.

9. How do you rate your rotations outside of the emergency department? 

     I usually hate them when I'm working there, but afterwards I look back and realize how much I actually learned while on that rotation.  I give them a 7/10 (on average).

10. What's the best elective you've done? 

     I've only done one elective (only 2 months of elective available in our residency) - ultrasound. 

11. How much does your program focus on research? 

     You can go all out if you are into it - we have a great research director (David Cline) and several assistant research directors who will help you do anything you want to do.  If you aren't into it, you just have to complete the RRC mandated "scholarly project."

12. What do you love and hate most about the city you're in?

     Love - outdoor festivals, Warthogs baseball games, low cost of living, great restaurants, 3 hours from the beach, 2 hours from the mountains.  Hate - lack of a singles scene. 

13. Please describe your typical month in terms of work hours and days off. 

     My month is atypical due to chief duties, so I'll describe a regular resident's schedule:  HOI 22-24 8-hour shifts a month.  HO2 20-22 8-hour shifts a month (12s on 2 weekends a month).  HO3 18-20 8-hour shifts a month (12s on 2 weekends a month).  Off service hours vary, but mostly right at 80 hour workweeks.

14. How much time do you spend off-duty with the other residents? 

     At least once a week I hang out with another resident or two at a bar, someone's house, a baseball game, etc.  

15. Do you have any international experience? 

     Several of our residents and faculty do mission work, most recently to Bolivia and Haiti.  Personally, I have been to Europe twice during residency (but just for fun, not medicine). 

16. What are your plans after residency? 

     I'd like to work at a high-volume community ED, preferably here in North Carolina.

17. How prepared do you feel? 

     Even though I'm just starting my HO3 year, I feel very prepared to practice emergency medicine.

18.  Is there anything you'd like to tell us that we haven't asked? 

     Moonlighting is allowed in our program - as an HO2 internally in our Fast Track at $45 an hour.  As an HO3, there are several outside opportunities from $100-$120 an hour.

19. Do you have any advice for current applicants, or is there anything you wish you'd known when you were applying? 

     Be yourself.  You have to have good numbers to get an interview, but from there we select residents with personality.  We have to want to work with you for the next 3 years to rank you.  

 

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